Evaluation Dialogue Between Doctor-Patient: |
Doctor |
Hello, I am your anesthesiologist. I’m going to assess your risks for undergoing surgery and see if there is anything we can do to improve your condition before surgery. Are you allergic to anything? To any mediations? If so, what type of reaction did you have to it? |
Patient |
Una vez me pusieron amoxicilina y me salieron ronchas en la piel y se me hinchó la lengua. |
Doctor |
Are you taking any medications? |
Patient |
Tomo Lasix®, amlodipino para la presión arterial e insulina para la diabetes. |
Doctor |
I understand you are diabetic and have high blood pressure. Do you suffer from any other illnesses? |
Patient |
No. |
Doctor |
Do you smoke, drink, or take any drugs? |
Patient |
No, no tengo hábitos tóxicos. |
Doctor |
Have you had any surgeries? |
Patient |
Sí, me hicieron una artroscopia de rodilla. |
Doctor |
What type of anesthesia did you have? |
Patient |
Me pusieron una anestesia raquídea y me sedaron para que no me enterara de nada. |
Doctor |
Have you felt any pain or tightness in your chest while walking or running? |
Patient |
Sí. |
Doctor |
Did you see a cardiologist? |
Patient |
Sí, me hicieron una prueba de esfuerzo y una ultrasonografía. Estaba todo bien. |
Doctor |
Are you able to go up to the third floor using the steps without tiring yourself, and without becoming winded? |
Patient |
Sí, no tengo problema. |
Doctor |
Have you ever felt any pings or obstructions in your chest, as if you had asthma, or noticed you were out of breath? |
Patient |
No, eso nunca. |
Doctor |
Do you suffer from any neurologic diseases: migraines, Parkinson’s, epilepsy, or any neuromuscular disease such as multiple sclerosis, or any other type? |
Patient |
No, no padezco ninguna enfermedad. |
Doctor |
Do you suffer from any psychiatric disease such as anxiety, depression, or bipolar disorder? Do you see a psychiatrist regularly? |
Patient |
Tuve problemas de depresión y los superé con ayuda psicológica. |
Doctor |
Do you have any problems with food? Trouble swallowing or reflux? |
Patient |
No, tampoco. |
Doctor |
Do you have any issues with your liver? |
Patient |
Tuve hepatitis A con 8 años. |
Doctor |
Do you have any problems with your kidneys? Any renal problems? Have you ever found blood in your urine? |
Patient |
Pues como tengo 78 años me cuesta un poquito orinar y una vez me colocaron una sonda. |
Doctor |
I am going to do a quick examination. |
Doctor |
Open your mouth as wide as you can, lift up your chin, and tilt your head back without moving your back. |
Doctor |
Do you wear dentures? Do you snore or have sleep apnea? |
Patient |
Sí que ronco. |
Doctor |
Do you use a CPAP? |
Patient |
Sí. |
Doctor |
Remember to bring it on the day of the procedure. Well, the results of the analyses all look good, your X-ray also looks good, and the electrocardiogram looks good, so you can rest easy for your operation. |
Patient |
¿Qué tipo de anestesia me van a poner? |
Doctor |
You’ll discuss that closer to the operation date with the anesthesiologist who will be with you the day of the operation. |
Patient |
¿Sabe la fecha de la intervención? |
Doctor |
They’ll call you from the hospital to confirm the date. Remember to start fasting the previous night. You can drink water up until two hours before the operation, and you should take Amlodipine with a sip of water when you wake up that morning. |
Patient |
Muchas gracias. |